Individual
DR. SAMANTHA FORD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(800) 243-3839
(954) 851-1840
Mailing address
P.O. BOX 18139, RALEIGH, NC 27619-8139
(800) 243-3839
(954) 851-1840
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201001398
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
201001398
NC
Other
Enumeration date
10/30/2008
Last updated
10/05/2010
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